Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,691.53 / $7,244.36	Facility		$537.03	$2,691.53	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $630.96 / $1,905.46	Professional		$134.90	$630.96	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,380.38	Professional		$630.96	$741.31	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $645.65 / $1,412.54	Facility		$229.09	$645.65	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $1,445.44	Professional		$141.25	$302.00	$1,445.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,479.11	Professional		$776.25	$1,047.13	$1,479.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $933.25 / $1,318.26	Professional		$165.96	$933.25	$1,318.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $5,370.32	Facility		$1,905.46	$2,570.40	$5,370.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $151.36	Professional		$147.91	$147.91	$151.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,398.83 / $7,244.36	Facility		$537.03	$2,398.83	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $676.08 / $2,041.74	Professional		$138.04	$676.08	$2,041.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,737.80	Facility		$1,047.13	$1,047.13	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,089.30	Professional		$1,047.13	$1,412.54	$2,089.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $416.87 / $912.01	Facility		$131.83	$416.87	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $416.87 / $758.58	Professional		$131.83	$416.87	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,819.70 / $3,890.45	Facility		$549.54	$1,819.70	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $524.81 / $1,288.25	Professional		$128.82	$524.81	$1,288.25